Martha Carson Email & Phone Number

Greater Atlanta Area

Responsible for patient registration cycle including patient communication, insurance verification and coordination with medical staff. Assisted patients with Healthcare customer service issues and inquiries, in addition to internal communication with medical and patient access teams. Ensure high-quality patient service through team training and on-boarding inline with hospital and HIPAA regulations and procedures. • Directed daily workflow of patient registration staff, including obtaining patient demographics, insurance, and billing information, diagnosis and procedure codes• Assisted patients with healthcare and medical customer service inquiries and issues to ensure high quality of care and appropriate handoffs to medical staff through various modes of communication including in-person, email and phone• Communicated with internal and external key stakeholders appropriately conveying information to the different departments to ensure the patient received their scheduled services timely• Verification of insurance benefit details and collection of patient financial responsibility• Daily reconciliation of POS patient payments utilizing Wells Fargo payment system• Oversaw service recovery of patient issues to obtain appropriate feedback and ensure a timely resolutionSkills Used: DocuSign / Microsoft Excel / Cerner / Star / RevRunner / Adobe Acrobat Pro / GoToMeeting / Slack / ETIME

Greater Atlanta Area

Responsible for insurance verification and documentation of authorization requirements for patient schedule procedures. Contacting patients to obtain accurate demographic information and communicate benefit details regarding the patient’s liability amount due. Ensure that scheduled procedures requiring pre-certification were obtained as needed and appropriately documented for correct claim billing and prevention of claim denials.• Conducted insurance verification for scheduled procedures to obtain member benefits information and prior authorization requirements• Coordinated with medical staff to obtain records and diagnostic imaging to support prior authorization requests and confirming procedure and diagnostic codes consistent with medical orders• Communicated with the medical staff to give feedback which informed process improvement and insurance verification procedure efficiency• Reviewed prior authorization and insurance denials to obtain additional information from insurance for reconsideration and claim resubmission, and compiled a monthly report for CFO denial trend analysisSkills Used: Availity/ CarePricer / ComplianceChecker / Evicore / GAMMIS / KRONOS / MedSolutions / Adobe Acrobat Pro / PAI / PAS / Passport / PBAR / RedCarpet / Showcase / SuccessFactors / Taleo VIWeb / Microsoft Excel / Microsoft Outlook

Greater Atlanta Area

Patient registration at bedside for emergency medical issues, communicating internally with clinical team members ensuring all aspects of the patient registration cycle are completed timely. Performed in-patient admission registration functions as requested by medical staff.• Performed bedside patient registration to include obtaining patient insurance details, demographics, and billing information.• Worked with medical staff to convey appropriate medical information to ensure quality of care throughout the admission process.• Liaised between various departments providing internal feedback to ensure patient quality of care and process improvementsSkills Used: Availity / CarePricer / ComplianceChecker / KRONOS / Adobe Acrobat / PAI / PAS / Passport / PBAR / RedCarpet / SuccessFactors / Taleo VIWeb / Microsoft Excel / Microsoft Outlook

Greater Atlanta Area

Responsible for the on-site management of a private Obstetrics and Gynecology practice. Oversaw office personnel and bi-weekly staff meetings. Led patient communication regarding medical procedures, referrals, disability, and finances.• Greeted and checked-in patients, collect personal, medical, co-pay and verify insurance information• Assisted patients with scheduling, rescheduled and verified appointments• Coordinated physician schedules and maintain patient flow by communicating patient arrivals or delays• Handled all general customer service issues to ensure timely and appropriate resolution Skills Used: Microsoft Office / Adobe Suite / STAR / Passport / Quickbooks / Quicken / Quest Diagnostics / Lab Corp

Master Of Public Health - Mph, Maternal And Child Health

Bachelor Of Arts - Ba, Sociology